Provider Demographics
NPI:1679034227
Name:MY FLORIDA TCM, INC.
Entity Type:Organization
Organization Name:MY FLORIDA TCM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAIDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAMALLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-553-6792
Mailing Address - Street 1:6850 CORAL WAY STE 501
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1763
Mailing Address - Country:US
Mailing Address - Phone:786-553-6792
Mailing Address - Fax:305-397-2671
Practice Address - Street 1:6850 CORAL WAY STE 501
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1763
Practice Address - Country:US
Practice Address - Phone:786-553-6792
Practice Address - Fax:305-397-2671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management